JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 35-37.doi: 10.6040/j.issn.1673-3770.0.2015.049

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Laryngeal function-sparing surgery for pyriform sinus cancer: a retrospective analysis of 14 cases.

QIAN Xiaofei1, ZHANG Suqin2, CHEN Jianliang1   

  1. 1. Department of Otolaryngology, Yixing People's Hospital, Yixing 214200, Jiangsu, China;
    2. Department of Otolaryngology, Changhai Hospital of Second Military Medical University, Shanghai 200433, China
  • Received:2015-01-23 Revised:2015-04-10 Online:2015-08-16 Published:2015-08-16

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Abstract: Objective To explore the approaches and indications of laryngeal function-sparing surgery for pyriform sinus cancer. Methods A total of 14 cases of pyriform sinus cancer were retrospectively reviewed, including stage Ⅰ (n=3), Ⅱ (n=5), Ⅲ (n=4) and Ⅳ (n=2). All patients received laryngeal function-sparing surgery, and then 40 to 55 Gy postoperative radiotherapy. Results During the follow-up of 5 years, all cases regained phonate function, and 12 cases' tracheal casings were removed. The 3-year and 5-year survival rate were 64.29% and 42.86%, respectively. Conclusion With careful preoperative evaluation, most patients with piriform sinus cancer can have normal laryngeal tissues preserved by delicate operation, and their larynx functions can be partially or completely restored with a variety of repair methods.

Key words: Hypopharyngeal neoplasms, Pharyngectomy, Preservation of laryngeal function

CLC Number: 

  • R739.63
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